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|
<%= include('header', 'Make a payment') %>
<FORM NAME="OneTrueForm" METHOD="POST" ACTION="<%=$selfurl%>" onSubmit="document.OneTrueForm.process.disabled=true">
<INPUT TYPE="hidden" NAME="action" VALUE="ach_payment_results">
<TABLE BGCOLOR="#cccccc">
<%=
if ($balance > 0) {
$OUT .= <<EOF;
<TR>
<TD ALIGN="right">Amount Due</TD>
<TD>
<TABLE><TR><TD BGCOLOR="#ffffff">
$money_char$balance
</TD></TR></TABLE>
</TD>
</TR>
EOF
}
%>
<TR>
<TD ALIGN="right">Payment amount</TD>
<TD>
<TABLE><TR><TD>
<%= $money_char %><INPUT TYPE="text" NAME="amount" SIZE=8 VALUE="<%= ($balance > 0) ? $balance : '' %>">
</TD></TR></TABLE>
</TD>
</TR>
<%= include('discount_term') %>
<%= include('check') %>
<%=
$OUT = '';
if ($ach_read_only) {
if ($payby eq 'CHEK') {
$OUT .= '<TR><TD COLSPAN=2><INPUT TYPE="hidden" NAME="auto" VALUE="1"></TD></TR>';
}
} else {
$OUT .= '<TR><TD COLSPAN=2><INPUT TYPE="checkbox"' . ($save_unchecked ? '' : 'CHECKED ') . 'NAME="save" VALUE="1">';
$OUT .= 'Remember this information</TD></TR>';
$OUT .= '<TR><TD COLSPAN=2><INPUT TYPE="checkbox"' . ($payby eq 'CHEK' ? ' CHECKED' : '') . 'NAME="auto" VALUE="1" onClick="if (this.checked) { document.OneTrueForm.save.checked=true; }">';
$OUT .= 'Charge future payments to this account automatically</TD></TR>';
}
%>
</TABLE>
<BR>
<INPUT TYPE="hidden" NAME="paybatch" VALUE="<%=$paybatch%>">
<INPUT TYPE="submit" NAME="process" VALUE="Process payment"> <!-- onClick="this.disabled=true"> -->
</FORM>
<%= include('footer') %>
|
